Keisha J Nelson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301075845 Issued in MI

Practice address

555 Barclay Cir Ste 150
Rochester Hills, MI 48307-4587

Phone

(248) 299-5777

Fax

(248) 299-6917

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: knelson6701@direct.beaumont.edu
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/68164

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associates of Family Medicine PC

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1255313607
  NPD (past)
• Prism Medical Group PC

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1750535779

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1245213115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BARCLAY CIR STE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074587",
            "telephone_number": "248-299-5777",
            "fax_number": "248-299-6917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44250 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141002",
            "country_code": "US",
            "telephone_number": "248-964-0400",
            "fax_number": "248-964-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KEISHA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301075845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0N84060",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knelson6701@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "555 Barclay Cir Ste 150",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483074587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Ted Neda
• Christina Negrete, MPH, RDN
• Neil King Physical Therapy, PC
• Neil L Matthews DDS PC
• Nelli Medical Services, P.C.
• Megan Elizabeth Nelson, CNM
• Sylvia Nelson, LPN
• Walter Nelson
• Neopedics Plus Inc
• Isabella Maria Neufang, MA, LLC

• Family Medicine Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.